Chinyere Nwanesidu, - Medicare Nurse Practitioner in Randolph, MA

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Chinyere Nwanesidu, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Randolph, Massachusetts. Her current practice location is 5 Mcenelly Cir, Randolph, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 943-5080.

Chinyere Nwanesidu is licensed to practice in Massachusetts (license number 2023126499) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922887173.

Contact Information

Chinyere Nwanesidu,
5 Mcenelly Cir,
Randolph, MA 02368-3672
(617) 943-5080
Not Available

Map and Direction




Provider's Profile

Full NameChinyere Nwanesidu
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5 Mcenelly Cir, Randolph, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922887173
  • Provider Enumeration Date: 09/27/2023
  • Last Update Date: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264888163
  • Enrollment ID: I20231030001435

Medical Identifiers

Medical identifiers for Chinyere Nwanesidu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922887173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2023126499 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chinyere Nwanesidu allows following entities to bill medicare on her behalf.
Entity NameNova Psychiatric Services, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881782522
PECOS PAC ID: 4183524887
Enrollment ID: O20040109000776
Entity NamePinnacle Health Management Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952319733
PECOS PAC ID: 7214974708
Enrollment ID: O20050415000551
Entity NameSupportive Behavioral Care Of Ma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780115519
PECOS PAC ID: 8628346731
Enrollment ID: O20170614000877
Entity NameVantage Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366903551
PECOS PAC ID: 8224361191
Enrollment ID: O20190607000976
Entity NameKeypath Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285349969
PECOS PAC ID: 7618332156
Enrollment ID: O20230505000129
Entity NameModern Psychiatric Nurse Practitioner Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518415983
PECOS PAC ID: 0840570297
Enrollment ID: O20240410000087
Entity NameMbilacity Limited Liability Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558163808
PECOS PAC ID: 0840714135
Enrollment ID: O20250408002364

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chinyere Nwanesidu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chinyere Nwanesidu,
5 Mcenelly Cir,
Randolph, MA 02368-3672

Ph: (617) 943-5080		Chinyere Nwanesidu,
5 Mcenelly Cir,
Randolph, MA 02368-3672

Ph: (617) 943-5080

Reviews and Comments


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Phone: 339-837-1449    Fax: 339-837-1076

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.